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Questions and Answers
What primarily contributes to elevated serum uric acid in gout?
Which joint is most commonly affected by gout?
What is a common characteristic of myositis?
Which treatment is recommended during a flare-up of myositis?
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What is the most common form of heterotopic ossification?
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Which of the following is NOT a common symptom of myositis?
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What are common symptoms associated with giant cell tumors?
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What causes pain in heterotopic ossification?
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What is a common treatment for osteochondritis if detected early?
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Which treatment is primarily used for multiple myeloma?
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Which of the following is NOT associated with osteoblastoma?
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What is a distinguishing characteristic of osteochondromas?
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What age group is most commonly affected by osteoid osteoma?
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What will happen to osteochondromas as the skeleton matures?
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Which symptom is likely to occur with a giant cell tumor?
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Which condition may present with pain that improves with NSAIDs?
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What condition is characterized by separation of bone and cartilage due to repeated stress or trauma?
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Which of the following is NOT a common cause of osteochondrosis?
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What is a common treatment strategy for osteomalacia?
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Osteonecrosis is commonly caused by which of the following factors?
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What is a characteristic symptom of Ankylosing Spondylitis?
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Which intervention is recommended for managing Ankylosing Spondylitis?
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Which symptom is commonly associated with osteomyelitis?
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Which of the following is a hallmark sign of osteomalacia?
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Which of the following is a sign of Arthrogryposis?
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What is the primary treatment for osteomyelitis?
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What is true regarding Chondrosarcoma?
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Which statement is false regarding Ewings Sarcoma?
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Which of the following is a symptom of osteonecrosis?
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What condition is associated with the term 'bamboo spine'?
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What is a common treatment strategy for Chondrosarcoma?
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What is a common treatment for improving range of motion in Arthrogryposis?
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Which symptom is NOT commonly associated with rheumatoid arthritis?
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What is a common treatment option for Rhabdomyolysis?
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What type of trauma can lead to Rhabdomyolysis?
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Which of the following is a symptom of Sarcoidosis?
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What characterizes Reiter's Syndrome?
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Which of the following is NOT a treatment method for rheumatoid arthritis?
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What condition is primarily characterized by weakness and progressive muscle loss due to aging?
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Which symptom may indicate that someone has Reiter's Syndrome?
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Study Notes
Injury Overview
- Pain during exercise or at night may indicate worsening injury.
- Adolescents (ages 10-20) may experience flu-like symptoms associated with injuries.
Benign Tumors
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Giant Cell Tumor
- Found at epiphyses and sometimes metaphases of long bones.
- Symptoms include bone fractures, limited movement, swelling.
- Treatment involves surgery for strength and mobility recovery.
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Osteoid Osteoma
- Characterized by a painful tumor causing osteoid bone growth, visible as a cyst on X-ray.
- Common in individuals aged 4-25, notably in long bones of the femur and tibia.
- Night pain is common, relieved by NSAIDs; often resolves on its own, but can be removed.
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Osteochondroma
- Osseous outgrowth covered by a cartilaginous cap; mainly affects distal femur, proximal humerus, proximal tibia.
- May disrupt blood vessels and movement; surgical removal needed if compromised.
- Stops growing after skeletal maturity; no interventions required thereafter.
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Osteoblastoma
- Common in ages 10-20, presents with sustained pain often described as deep bone pain.
- Symptoms include limited movement and localized tenderness; treatment may involve total excision.
Malignant Tumors
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Chondrosarcoma
- A bone cancer originating from cartilage, primarily affecting men aged 40-60.
- Symptoms consist of pain, lumps, joint stiffness, and swelling; surgery is necessary.
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Ewing's Sarcoma
- Can form in long bones or soft tissues; often appears in children and adolescents.
- Symptoms include local bone pain, fatigue, and potential aerobic exercise intolerance; treatment includes targeted therapies and strength training.
Other Conditions
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Ankylosing Spondylitis
- Inflammatory arthropathy affecting the axial skeleton, particularly the SI joints.
- Symptoms involve low back pain intensified by rest and alleviated by movement; characterized by decreased lordosis and increased kyphosis.
- Treatment focuses on controlling inflammation, reducing kyphosis, and enhancing trunk strength.
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Arthrogryposis
- Describes multiple joint contractures affecting mobility; commonly involves all four limbs.
- Symptoms include stiffness and pain; management may include casting, splinting, and gait training.
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Myositis
- General term for muscle inflammation due to various causes (autoimmune, viral).
- Symptoms include malaise, fever, pain, and a common developing rash; treatment involves submaximal exercises and possible steroids.
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Gout
- Characterized by elevated uric acid levels leading to joint inflammation, particularly in the big toe.
- Symptoms include severe pain, inflammation, and possible “rat bites” on X-rays; dietary changes and orthotic provisions are recommended during flare-ups.
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Osteonecrosis (Avascular Necrosis)
- Involves bone and marrow infarction typically due to fractures or steroid use; requires MRI for diagnosis.
- Symptoms include pain at rest and limited ROM; management focuses on slowing progression.
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Osteomyelitis
- Bone infection common in children and the elderly, often linked to IV drug use.
- Symptoms include persistent pain, fever, limited ROM, and increased WBC count; treated with drainage and antibiotics.
Additional Notes
-
Rhabdomyolysis
- Rapid breakdown of skeletal muscle due to trauma; characterized by muscle pain and weakness.
- Complications include hyperkalemia, with distinct “coca-cola” colored urine as a symptom; rehydration and electrolyte correction are critical interventions.
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Sarcopenia
- Age-related loss of muscle mass marked by progressive weakness; management strategies include weight-bearing and progressive muscle strengthening exercises.
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Myositis Ossificans
- Affects large muscles often due to deep bruises or repetitive trauma; common symptoms are pain and decreased ROM; treatment includes gentle ROM and icing.
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Osteochondritis Dissecans
- A joint disorder where segments of bone and cartilage separate from the bone due to repeated trauma; treatment may reduce surgery necessity when detected early.
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Description
This quiz focuses on the characteristics and symptoms of giant cell tumors in adolescents, particularly around the ages of 10-20. It covers the impacts of such tumors during exercise and potential complications like bone fractures. Prepare to learn about diagnosis, treatment options, and recovery processes.
